Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,964.00 / $7,119.04	Facility		$3,496.00	$4,964.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.43 / $433.71 / $666.99	Professional		$255.43	$433.71	$666.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $796.63 / $1,199.46	Professional		$562.34	$796.63	$1,199.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $276.63 / $556.66 / $885.34	Professional		$276.63	$556.66	$885.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $433.71 / $760.80 / $3,984.48	Facility		$433.71	$760.80	$3,984.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $448.77 / $835.82 / $2,846.98	Professional		$448.77	$835.82	$2,846.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $607.70 / $918.47 / $1,597.11	Facility		$607.70	$918.47	$1,597.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $547.37 / $790.59 / $1,126.53	Professional		$547.37	$790.59	$1,126.53
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $426.03 / $649.17 / $1,284.94	Professional		$426.03	$649.17	$1,284.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $535.90 / $630.40 / $952.80	Professional		$535.90	$630.40	$952.80